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I am no medical professional but Dr Ludyga in Poland reassured me that there will be no worry about stent migration. He is the one that has been developing the stents that are used in the procedure so from what he said there is very little chance of stents migrating and the results fro Poland prove this!!!

Hello Salvatore24
I heard Prof Zamboni on 14 April 2010 say:
Use angioplasty (venoplasty) and repeat it re-stenosis occurs.
You will find the news conference mentioned on this site and can listen for yourself.
Kind regards,
MarkW

adamt wrote:i thought balloon angiolasty was the preffered option with most surgeons but i thought stents would be safe in the azygos vein,

can stents migrate to dangerous places like the heart from the azygos vein?is there a clear pathway to the heart?

My own feeling is that stents are not to be preferred anywhere, but rather the azy than the IJVs. There is a straight path (pretty much) from the IJVs into the vena cava, and from there to the heart, whereas, the azygos has an arch as it enters the vena cava, and the stent would have to negotiate that bend. I would think also, that the azy. is a much more "protected" location than the IJVs, and less subject to flexing, etc.

Yes with me, Dr Ludyga tried the balloon first of all but it closed over almost immediately, so he placed a stent there and I have no problems with it at all.

I have the video of the procedure and it is obvious that the vein closes over.

I also believe that as is happening in Poland, will eventually replicated around the world. Dr. Zamboni does not want to advocate the use of stents due to the problems that could occur from this, as what happened at Stanford, but in the long term that will be the way to go.

If you look at the results from Poland you will see that Venoplasty is always attempted first of all and if this is unsuccessful then a stent is then used. There is 100% success rate with the use of stents in Poland and if you are booked for an appointment there you will soon be reassured that these Dr's know what they are doing.

I have stent in azygous. On the operating table, he found stenosis. I could see there was hardly any blood flow. He ballooned, it collapsed straight after. He tried again a few times, it would not stay open!
He asked about stent, I said yes. Normal flow was restored.

It is not always a choice to have stents or not to have stents. It is not always that ballooning will work at all.

But I was under the impression that it was a low chance for azygous to restenose, if venoplasty was sucessful. Dr. Petrov in Bulgaria said he had showed my operation to the Italian professor. I assumed it was zamboni he was talking about, I did not ask.

<div>I have lived with ms for 8 years. The last year has been hell, I've gone from shite to even worse every single month, until my liberation in May. </div>

Think of the vascular system as a series of connected hoses carrying water - each hose of different sizes. The jugulars being big veins (hoses). The rest of the body being smaller veins (hoses). Then try to connect them all and make it a closed loop circuit back through a pump (the heart).

Let's say you kink the two big hoses (jugulars). This will put immense pressure on the rest of the system all the way throughout. So an unintended consequence could be veins in other areas being over worked in the central nervous system and as a result of overwork iron/deoxygenated blood is forced through them more regularly ... so a lesion develops. Meanwhile the azygos may be clear ... it's just that it's overworked and can't keep up with what should be flowing through the jugulars.

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